PREFERRED UNDERWRITING CLASSIFICATIONS - Equitable Life … · Equitable Life ® is one of Canada...

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term PREFERRED UNDERWRITING CLASSIFICATIONS ADVISOR GUIDE

Transcript of PREFERRED UNDERWRITING CLASSIFICATIONS - Equitable Life … · Equitable Life ® is one of Canada...

Page 1: PREFERRED UNDERWRITING CLASSIFICATIONS - Equitable Life … · Equitable Life ® is one of Canada ... This guide provides an overview of Preferred Underwriting Classifications that

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PREFERRED UNDERWRITING

CLASSIFICATIONS

AD

VIS

OR

GU

IDE

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Equitable Life® is one of Canada’s largest mutual life insurance companies. For generations we’ve provided policyholders with sound financial protection, and we look forward to continuing to deliver long-term financial value. We’re focused on the needs of our clients, and pride ourselves on the breadth and quality of our financial and insurance products and on our premier client service.

The mutual structure of our company ensures that our participating policyholders are owners with voting rights on company issues. With no shareholders imposing undue emphasis on short-term earnings, Equitable Life always operates in the best interest of our policyholders.

Equitable Life is a focused, stable and strong company.

Our mutual structure is a key element of our value proposition, along with our diversified product portfolio and superior service. As an organization we’re progressive, competitive and firmly committed to serving the best interests of our policyholders, through longer-term strategies that foster ongoing stability, growth and profitability.

This guide provides an overview of Preferred Underwriting Classifications that determine the rates for Term insurance at Equitable Life. For complete details, please refer to the policy contract. While Equitable Life has made every effort to ensure the accuracy of the information presented here, the policy contract governs in all cases.

ABOUT THIS GUIDE

ABOUT EQUITABLE LIFE OF CANADA

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Good health reaps rewards ....................................................................................... 1Underwriting guidelines ............................................................................................ 1 Smoking status .................................................................................................. 2 Blood pressure .................................................................................................. 2 Build chart ....................................................................................................... 3 Cholesterol ...................................................................................................... 4 Personal health ................................................................................................. 4 Family health .................................................................................................... 4 Lifestyle ........................................................................................................... 4Evidence of insurability schedule................................................................................. 6 Legend of acronyms ........................................................................................... 7

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GOOD HEALTH REAPS REWARDS

At Equitable Life, we feel good health and lifestyle should be rewarded with better premiums on life insurance. That is why Equitable Life’s Term insurance policies offer five “Classes of Risk” or Underwriting Classifications based on the health of individual clients.

• Class 1 Preferred Plus Non-Smoker: The life insured is a very healthy non-smoker (no smoking or cessation aids within the past 24 months) with an excellent family medical history.

• Class 2 Preferred Non-Smoker: The life insured is in good health, a non-smoker (no smoking or cessation aids within the past 12 months) with good family medical history.

• Class 3 Non-Smoker: The life insured is a healthy non-smoker (no smoking or cessation aids within the last 12 months). Up to one cigar or cigarillo/month is permitted, subject to a negative cotinine test. Clients who use marijuana, whether inhaled or ingested, may qualify for non-smoker rates. The amount they use, whether it’s combined with tobacco and other factors will be considered.

• Class 4 Preferred Smoker: The life insured is in good health and smokes cigarettes or uses nicotine-based products. Evaluated with similar health criteria as Class 2 Preferred Non-Smoker.

• Class 5 Smoker: The life insured is healthy and smokes cigarettes or uses nicotine - based products.

Determination of the Preferred Underwriting Classification is dependent on Equitable Life’s underwriting assessment. Better health and lifestyle translates into a preferred risk for the company and lower premiums for the client.

Preferred underwriting will be available for Term insurance policies with Face Amounts of $500,000 or more. Face Amounts below $500,000 will offer two Underwriting Classifications; Standard Non-Smoker (Class 3) and Standard Smoker (Class 5).

UNDERWRITING GUIDELINES

Underwriting Classifications are based on a number of different factors including Smoking Status, Build, Cholesterol, and Family History. The following guidelines apply only to the Face Amount/age combinations that are eligible for Preferred Underwriting. A non-medical questionnaire will apply for Face Amounts up to $499,999 for issue ages 18 - 45. Current underwriting practices will continue for all other ages.

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TERM Insurance

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Smoking status The following table outlines the smoking definitions for the Underwriting Classifications.

Blood pressureThe following table outlines the blood pressure requirements for the Preferred class structure.

PREFERRED UNDERWRITING GUIDE 2

Class Smoking Definitions

Class 1: Preferred Plus Non-Smoker

No cigarettes, cigars, cigarillos, pipe or chewing tobacco, smoking cessation products, tobacco substitutes,

or marijuana within the past 24 months.

Class 2: Preferred Non-Smoker

No cigarettes, cigars, cigarillos, pipe or chewing tobacco, smoking cessation products, tobacco substitutes,

or marijuana within the past 12 months.

Class 3: Non-Smoker (Standard and ratable)

No cigarettes, pipe or chewing tobacco, smoking cessation products, or tobacco substitutes within the

past 12 months. Up to one cigar/cigarillo per month is permitted, subject to a negative cotinine test. Clients who use marijuana, whether inhaled or ingested, may

qualify for non-smoker rates. The amount they use, whether it’s combined with tobacco and other factors will be

considered.

Class 4: Preferred Smoker Regular tobacco use

Class 5: Smoker (Standard and ratable)

Regular tobacco use

Class Age

18-40 41-50 51-55 56-60 61-65 66+

Class 1: Preferred Plus Non-Smoker

No treatment in last 10 years 130/75 135/80 135/80 140/85 145/85 145/85

Class 2: Preferred Non-Smoker Class 4: Preferred Smoker

With or without treatment140/85 140/85 145/85 150/85 150/90 150/90

TERM Insurance

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TERM Insurance

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Build The following table outlines the build table for Preferred criteria maximums.

Height

Weight

Males Females

Class 1 Class 2 & Class 4 Class 1 Class 2 & Class 4

ft/in cm lbs kg lbs kg lbs kg lbs kg

4'8" 142 126 57 132 60 125 57 130 59

4'9" 145 131 59 137 62 128 58 134 61

4'10" 147 136 62 142 64 133 60 139 63

4'11" 150 141 64 147 67 138 63 144 65

5'0" 152 145 66 151 68 142 64 148 67

5'1" 155 150 68 156 71 147 67 153 69

5'2" 157 155 70 161 73 152 69 158 72

5'3" 160 159 72 166 75 157 71 163 74

5'4" 163 165 75 172 78 162 73 169 77

5'5" 165 170 77 177 80 167 76 174 79

5'6" 168 175 79 183 83 173 78 180 82

5'7" 170 181 82 189 86 177 80 185 84

5'8" 173 186 84 194 88 183 83 191 87

5'9" 175 191 87 199 90 188 85 196 89

5'10" 178 197 89 205 93 193 88 201 91

5'11" 180 203 92 211 96 199 90 207 94

6'0" 183 208 94 217 98 204 92 213 97

6'1" 185 215 98 224 101 210 95 219 99

6'2" 188 220 100 230 104 217 98 226 103

6'3" 191 226 103 236 107 222 101 232 105

6'4" 193 233 106 243 110 228 103 238 108

6'5" 196 238 108 248 112 235 107 245 111

6'6" 198 245 111 255 116 240 109 250 113

6'7" 201 251 113 262 119

6'8" 203 257 117 268 122

6'9" 206 264 120 275 125

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PREFERRED UNDERWRITING GUIDE 4

Cholesterol The following table outlines total cholesterol/ HDL ratio level for Preferred classes.

Personal health No personal history of Cancer (exceptions for basal cell and squamous cell), Diabetes (exception for gestational greater than 10 years since the last episode), Cardiovascular Disease, Coronary Artery Disease, or Stroke (including TIA).

Family health No family history of heart disease, cancer, or stroke prior to the specified age outlinedin the following table.

Definition of family: Parents or siblings

LifestyleDriving history:

Class 18-45 46-65 66+

Class 1: Preferred Plus Non-Smoker 210/5.0 220/5.5 220/6.0

Class 2: Preferred Non-SmokerClass 4: Preferred Smoker

230/5.5 245/6.0 245/6.0

Class No family history prior to age

Class 1: Preferred Plus Non-Smoker 65 (exception of opposite gender specific cancer)

Class 2: Preferred Non-Smoker Class 4: Preferred Smoker

63 (exception of opposite gender specific cancer)

Class Motor Vehicle Record Infractions

Class 1: Preferred Plus Non-Smoker No impaired driving infractions (DWI) in last 10 years.

Class 2: Preferred Non-SmokerClass 4: Preferred Smoker

No impaired driving infractions (DWI) in last 5 years.

TERM Insurance

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Substance abuse:

Foreign travel:Foreign travel is defined as short -term travel outside of Canada and USA for business orpleasure. Preferred criteria requires no ratable foreign travel and no ratable foreignresidency. Equitable Life uses current Government of Canada travel guidelines.

Aviation: Aviation is defined as flying for pleasure or employment, as a pilot or crew member in any type of aircraft. To qualify for Preferred classes the insured must not participate in aviation deemed ratable. Ratings depend on a number of factors such as age, experience, frequency whether flying commercially or for sport.

Sports or Avocation:No ratable participation in hazardous sports or avocations in the past 2 years. There are additional risk factors to consider, therefore some avocations may be deemed as a more hazardous sport in nature.

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Class Substance abuse

Class 1: Preferred Plus Non-Smoker No history of, or treatment for alcohol or drug abuse in past 10 years.

Class 2: Preferred Non-Smoker Class 4: Preferred Smoker

No history of, or treatment for alcohol or drug abuse in past 5 years.

Class Foreign Travel

Class 1: Preferred Plus Non-SmokerClass 2: Preferred Non-SmokerClass 4: Preferred Smoker

No ratable or excluded travel

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PREFERRED UNDERWRITING GUIDE 6

Notes1. When referring to the table, add the term riders to the basic

amount for determining the evidence requirements. 2. The amounts shown in the table refer to the total amount of

insurance currently in force with Equitable Life and issued within the past 6 months, plus the amount of insurance currently being applied for.

3. Clients may be referred to any medical examiner actively engaged in his or her own office or clinic, other than an examiner related to the applicant, life insured, or to the broker; or the client’s regular attending physician. On the rare occasion where the use of the client’s doctor is absolutely unavoidable, the amount of insurance issued will be limited to $500,000.

The Company will pay for each medical examination according to the fees acceptable in the area in which the medical was done. Any excess fees or unnecessary evidence will be charged to the broker.

4. The Company reserves the right to request any additional evidence of insurability which it judges necessary to appraise the risk.

5. Recent evidence (within the past 12 months) may be considered. Please contact head office for any additional requirements.

6. APS guidelines: • Ages 70+: Equitable Life will order the APSs for the

advisor/MGA for all face amounts.• Ages 0 - 17: Equitable Life will order the APSs for the

advisor/MGA for face amounts over $500 000 on universal life and whole life plans.

Combination critical illness and life insurance or life insuranceand preferred term riders

When applying for any combination of critical illness and life insurance, or life insurance with a term rider that qualifies for preferred underwriting, use the higher combination requirements.

For example: • A Blood Profile replaces a Urine test • A Paramedical replaces a Non-Medical • An M.D. Medical replaces a Paramedical and/or Non-

Medical. When a PSA is required, request with the Blood Profile requirement (on male applicants only).

TERM Insurance

EVIDENCE OF INSURABILITY SCHEDULE

Amount Age

From To 0-17 18-40 41-45 46-50 51-55 56-60 61-65 66+(see Note #6)

$ - $ 99,999 NM NM NM NM NM PM PM PM

$ 100,000 $ 249,999 NM NM NM NM U PM U PM U PM U PM U ECG

$ 250,000 $ 499,999 NM NM NM PM U PM U PM U PM BP ECG PM BP ECG

$ 500,000 $ 999,999 NM APS PM BP PM BP PM BP PM BP PM BP ECG PM BP ECG PM BP ECG

$ 1,000,000 $ 2,499,999 NM APS PM BP PM BP PM BP PM BP PM BP ECG PM BP ECG PM BP ECG

$ 2,500,000 $ 3,000,000 NM APS PM BP PM BP PM BP PM BP PM BP ECG PM BP ECG PM BP ECG

$ 3,000,001 $ 5,000,000 NM APS PM BP PM BP PM BP MVR PM BP MVR PM BP ECG MVR

PM BP TMT MVR

PM BP TMT MVR

$ 5,000,001 $ 9,999,999 NM APS PM BP MVR PM BP ECG MVR

PM BP ECG MVR

PM BP TMT MVR

PM BP TMT MVR

PM BP TMT MVR

PM BP TMT MVR

$ 10,000,000 and up NM APS M BP IR MVR

M BP TMT IR MVR

M BP TMT IR MVR

M BP TMT IR MVR

M BP TMT IR MVR

M BP TMT IR MVR

M BP TMT IR MVR

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Short Form Full Name of Requirement

NM Non-Medical

PM Paramedical

M M.D. Medical

U Urine

BP Blood Profile plus Urine

ECG Electrocardiogram

TMT Treadmill Electrocardiogram

IR Inspection Report

PSA Prostate Specific Antigen (request with Blood Profile requirement)

MVR Motor Vehicle Report

APS Attending Physician Statement

Legend of acronyms

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1345(12/2009)

One Westmount Road North,Waterloo, Ontario N2J 4C7

Visit our website: www.equitable.ca

1345(2017/10/16)

Works for me.®

Canadians have turned to Equitable Life since 1920 to protect what matters most. We work with you to offer solutions that provide good value, and help you navigate those solutions to meet the needs of your clients.

But we’re not your typical financial services company. We have the knowledge, experience and ability to find solutions that work for you and your clients. We’re friendly, caring and interested in helping. And we’re owned by our participating policyholders, not shareholders. So we can focus on your interests and providing you with personalized service, security and wellbeing.

® denotes a trademark of The Equitable Life Insurance Company of Canada.